| NPI | 1962798363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY 272839) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 003737) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2021-11-05 |